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ALBA LUCIA GUEVARA M.D.
NPI 1063867398
Preventive Medicine - Addiction Medicine in Hilliard, OH

Active since April 23, 2016PECOS EnrolledAccepts Medicare Assignment
3663 RIDGE MILL DR STE 100, HILLIARD, OH 43026(614) 788-4440(614) 788-4459 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 10, 2025, Aug 4, 2024, Jul 8, 2024 and 1 more (4 updates tracked since 2022).

About Alba Lucia Guevara M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALBA LUCIA GUEVARA M.D. (NPI 1063867398) is an individual addiction medicine provider in Hilliard, Ohio, licensed in Ohio (35.150986) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2016).

NPPES Registry Identity

NPI1063867398
Entity TypeIndividualFemale
Primary Taxonomy2083A0300X
Provider Legal NameALBA LUCIA GUEVARACredential: M.D.
Location Address3663 RIDGE MILL DR STE 100Hilliard, OH 43026-7799
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(614) 788-4440
Fax(614) 788-4459
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2016
Enumeration DateApril 23, 2016
Last NPPES UpdateDecember 10, 20254 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1063867398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License✔ Licensed in OH · 35.150986
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 35.150986 (OH)
Also ListedGeneral PracticeTaxonomy 208D00000X · License MD469499 (PA)
3663 RIDGE MILL DR STE 100, Hilliard, OH 43026
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alba Lucia Guevara M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921391285
PECOS Enrollment IDI20240911004264, I20241021001566, I20241108003862
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Alba Guevara reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation
4.2 mi
Family Medicine
3535 OLENTANGY RIVER RD
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1578545273 (614) 533-5500
Pai Medical Wv PLLC
280 mi
Psychiatry
3058C CHARLES TOWN RD
Kearneysville, WV 25430
  • Reassigned Medicare billing, West Virginia enrollment
  • 25 clinicians in this Medicare group
NPI 1972323061 (860) 322-6712
Pursuecare, LLC
558 mi
Addiction Medicine
101 CENTERPOINT DR STE 105
Middletown, CT 06457
  • Reassigned Medicare billing, Kentucky, Ohio and West Virginia enrollments
  • 22 clinicians in this Medicare group
NPI 1962068296 (860) 322-6712
Signify Health Medical Associates, PLLC
906 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, West Virginia enrollment
  • 228 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Pursuecare Connecticut PC
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 8 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OHIOHEALTH CORPORATION
Orthopaedic Surgery
3663 RIDGE MILL DR STE 100
HILLIARD, OH 43026
Franklin County (614) 544-1401
DR. LESLIE GONZALEZ DO
Family Medicine (Addiction Medicine)
3663 RIDGE MILL DR STE 100
HILLIARD, OH 43026
Franklin County (614) 788-4440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alba Guevara's NPI number?

The NPI number for Alba Guevara is 1063867398. It was assigned to this individual provider in the NPPES registry on April 23, 2016.

Where is Alba Guevara located?

Alba Guevara practices at 3663 Ridge Mill Dr Ste 100, Hilliard, OH 43026. The listed phone number is (614) 788-4440.

What is Alba Guevara's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Alba Guevara enrolled in Medicare?

Yes. Alba Guevara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alba Guevara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alba Guevara reassigns Medicare benefits to 5 organizations: Ohiohealth Corporation (Columbus, OH), Pai Medical Wv PLLC (Kearneysville, WV), Pursuecare, LLC (Middletown, CT), Signify Health Medical Associates, PLLC (Dallas, TX) and Pursuecare Connecticut PC (PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alba Guevara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alba Guevara accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Alba Guevara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alba Guevara was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.